<!--
	作者：1512637782@qq.com
	时间：2016-12-20
	描述：个人帮扶申请
-->
<!DOCTYPE html>
<html>

	<head>
		<meta http-equiv="X-UA-Compatible" content="IE=9">
		<meta name="renderer" content="webkit">
		<meta name="viewport" content="user-scalable=no, initial-scale=1.0, maximum-scale=1.0" />
		<meta charset="utf-8" />
		<meta name="format-detection" content="telephone=no" />
		<title>个人帮扶申请</title>
		<link rel="stylesheet" href="../css/mdialog.css" />
		<link rel="stylesheet" href="css/personal_apply_edit.css" />
		<script type="text/javascript" src="../js/sea.js"></script>
		<script type="text/javascript" src="js/personal_apply_edit.js"></script>
	</head>

	<body>
		<div></div>
		<div id="content">
			<div>
				<div class="from">
					<span>首页&gt;</span><span>个人帮扶&gt;</span><span>帮扶人员信息</span>
				</div>
				<div class="view">
					<div class="tree"></div>
					<div class="body-list">
						<div>
							<div class="item" > <span>姓名：</span><span><input type="text" placeholder="请输入真实姓名"/></span> </div>
							<div class="item"> <span>个人电话：</span><span><input type="text" placeholder="请输入个人联系电话"/></span> </div>
							<div class="item"><span>身份证号：</span><span><input type="text" placeholder="请输入个人身份证号码"/></span></div>
							<div class="item"><span>身份证照：</span> <span class="fj_img"><img src="../images/icons/default_card.png"/></span> <span class="upload_fj">请上传图片</span><input dir="user_img" style="display: none;    width: 200px !important;margin-top: 188px;margin-left: 50px;" type="file" name="fj" id="fj" value="" /></div>
							<div class="item">以下为选填项</div>
							<div class="item" ><span>单位电话：</span><span><input type="text" placeholder="请输入单位电话"/></span></div>
							<div class="item" ><span>微信号：</span><span><input type="text" placeholder="请输入微信号"/></span></div>
							<div class="item" ><span>邮箱：</span><span><input type="text" placeholder="请输入联系邮箱"/></span></div>
							<div class="item" ><span>性别:</span><span>
							<select name="">
								<option value="2">男</option>
								<option value="1">女</option>
							</select>
						</span></div>
							<div class="item" ><span>出生乡镇：</span><span><input type="text" placeholder="请输入出生乡镇"/></span></div>
							<div class="item" ><span>所在城市：</span><span><input type="text" placeholder="请输入所在城市"/></span></div>
						<span class="submint">
							提交
						</span>
						</div>
					</div>
				</div>
			</div>
		</div>
		<!--<input dir="user_img" style="display: none;" type="file" name="head_img" id="head_img" value="" />-->
		<!--<input dir="user_img" style="display: none;" type="file" name="fj" id="fj" value="" />-->
		<!-- <div id="content">
			<div>
				<div class="from">
					<span>首页&gt;</span><span>个人帮扶&gt;</span><span>帮扶人员信息</span>
				</div>
				<div class="content">
					<div>
						<div class=""> <span>帮扶人姓名：</span><span><input type="text" /></span> </div>
						<div><span style="margin-top:15px;"> 上传图片：</span><span class="touxiang"><img src="../images/icons/icon_tuooxiang.png"/></span><input dir="user_img" style="display:none;    width: 288px !important;margin-top: 35px;margin-left: 50px;" type="file" name="head_img" id="head_img" value="" /></div>
						<div class=""> <span>联系方式：</span><span><input type="text" /></span> </div>
						<div class=""><span>微信号：</span><span><input type="text" /></span></div>
						<div class=""><span>邮箱：</span><span><input type="text" /></span></div>
						<div><span>证件号：</span><span><input type="text" /></span></div>
						<div><span>附件：</span> <span class="fj_img"><img src="../images/icons/default_card.png"/></span> <span class="upload_fj">上传</span><input dir="user_img" style="display: none;    width: 200px !important;margin-top: 188px;margin-left: 50px;" type="file" name="fj" id="fj" value="" /></div>
						<div><span>性别:</span><span>
							<select name="">
								<option value="2">男</option>
								<option value="1">女</option>
							</select>
						</span></div>
						<div><span>出生乡镇：</span><span><input type="text" /></span></div>
						<div><span>所在城市：</span><span><input type="text" /></span></div>
						<div><span>帮扶意向：</span><span><input placeholder="请输入帮扶地点" type="text" /></span></div>
						<div><span>帮扶意向：</span><span><input placeholder="请输入帮扶方式" type="text" /></span></div>
						<div><span>备注：</span><span><input type="text" /></span></div>
						<span class="submint">
							提交
						</span>
					</div>
				</div>
			</div>
		</div> -->

	</body>

</html>